Movement Disorders (revue)

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First case of X-linked dystonia-parkinsonism ("Lubag") to demonstrate a response to bilateral pallidal stimulation.

Identifieur interne : 001D12 ( Ncbi/Merge ); précédent : 001D11; suivant : 001D13

First case of X-linked dystonia-parkinsonism ("Lubag") to demonstrate a response to bilateral pallidal stimulation.

Auteurs : Virgilio Gerald H. Evidente [États-Unis] ; Mark K. Lyons ; Mark Wheeler ; Renee Hillman ; Luann Helepolelei ; Froukje Beynen ; Dagmar Nolte ; Ulrich Müller ; Philip A. Starr

Source :

RBID : pubmed:17579361

English descriptors

Abstract

"Lubag" or X-linked dystonia-parkinsonism (XDP) is a genetic syndrome afflicting Filipino men. Intracranial surgical procedures for Lubag have been unsuccessful. We report a 45-year-old Filipino male with genetically confirmed XDP who underwent bilateral pallidal deep brain stimulation (DBS) surgery. The patient started to exhibit improvement on initial programming, most notably of his severe jaw-opening dystonia. At 1-year follow-up, his Burke-Fahn-Marsden dystonia score and motor Unified Parkinson's Disease Rating Scale score were improved by 71% and 62%, respectively, with the stimulators on compared to stimulators off state. Bilateral pallidal DBS may be a viable option for Lubag patients with medically refractory symptoms.

DOI: 10.1002/mds.21420
PubMed: 17579361

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pubmed:17579361

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